A carregar...
Publicação
Proposta de projeto: Alimentos terapĂȘuticos prontos a usar (RUTF- Ready-to-use Terapeuthic Food) para Ăfrica
| Nome: | Descrição: | Tamanho: | Formato: | |
|---|---|---|---|---|
| 1.1 MB | Adobe PDF |
Autores
Orientador(es)
Resumo(s)
Os alimentos terapeÌuticos prontos a usar (Ready-to-Use Therapeutic Foods-RUTF) e os alimentos suplementares prontos a usar (Ready-to-use Suplementary Foods- RUSF) estaÌo entre as intervençoÌes nutricionais mais eficazes no combate aÌ desnutriçaÌo infantil aguda, permitindo um tratamento seguro, estaÌvel e domiciliar, sem necessidade de refrigeraçaÌo ou preparaçaÌo. Desde o desenvolvimento do Plumpy'Nut em 1996, estes produtos transformaram a abordagem global aÌ desnutriçaÌo, especialmente a DesnutriçaÌo aguda-grave (SAM), combinando alta densidade energeÌtica, proteiÌnas de boa qualidade e uma variedade de micronutrientes essenciais, alcançando consistentemente taxas de recuperaçaÌo entre 80% e 95%. Apesar da sua reconhecida eficaÌcia, continuam a existir limitaçoÌes significativas relacionadas com os elevados custos de produçaÌo (principalmente devido aÌ utilizaçaÌo de amendoim e leite em poÌ), a dependeÌncia das importaçoÌes e os desafios de sustentabilidade, incluindo o impacto ambiental e a vulnerabilidade a contaminantes como a aflatoxina.Atualmente, cerca de 80% das crianças com desnutriçaÌo aguda ainda naÌo teÌm acesso a um tratamento adequado, o que destaca a necessidade de alternativas mais acessiÌveis e produzidas localmente. A anaÌlise da literatura cientiÌfica mostra um interesse crescente em formulaçoÌes alternativas baseadas em ingredientes locais, nomeadamente soja, graÌo-de-bico, feijaÌo mungo, sorgo e aveia.Essas alternativas mostram potencial para reduzir custos, melhorar a sustentabilidade e garantir uma composiçaÌo nutricional adequada, mantendo a estabilidade microbioloÌgica e uma boa aceitabilidade sensorial. Estudos recentes confirmam que as formulaçoÌes aÌ base de plantas podem igualar a eficaÌcia do RUTF padraÌo, desde que cumpram os requisitos de Guidelines for ready-to-use therapeutic foods CXG 95-2022, nomeadamente densidade energeÌtica, perfil lipiÌdico e qualidade proteica.Este trabalho analisa o problema da desnutriçaÌo, a evoluçaÌo dos RUTF, o mercado internacional, os desafios da produçaÌo local e as oportunidades de inovaçaÌo, culminando no desenvolvimento e comparaçaÌo de vaÌrias formulaçoÌes experimentais. As formulaçoÌes aqui propostas utilizam ingredientes acessiÌveis e culturalmente adequados, avaliados em termos de composiçaÌo nutricional, viabilidade tecnoloÌgica e alinhamento com as recomendaçoÌes internacionais.Conclui-se que os RUTF representam hoje um pilar fundamental da sauÌde puÌblica, mas a sua evoluçaÌo depende da criaçaÌo de soluçoÌes nutricionalmente robustas, economicamente sustentaÌveis e adaptadas aos contextos locais. A produçaÌo de RUTF com ingredientes regionais (com uma fortificaçaÌo adequada) surge como uma estrateÌgia viaÌvel para expandir o acesso ao tratamento e contribuir para a reduçaÌo global da desnutriçaÌo infantil.
Ready-to-use therapeutic foods (RUTF) and ready-to-use supplementary foods(RUSF) are among the most effective nutritional interventions for combating acute child malnutrition, enabling safe, stable, and home-based treatment without the need for refrigeration or preparation. Since the development of PlumpyâNut in 1996, these products have transformed the global approach to malnutrition, especially Severe Acute Malnutrition (SAM)by combining high energy density, good quality protein, and a variety of essential micronutrients, consistently achieving recovery rates between 80% and 95%. Despite their recognized effectiveness, significant limitations remain related to high production costs (mainly due to the use of peanuts and powdered milk), dependence on imports, and sustainability challenges, including environmental impact and vulnerability to contaminants such as aflatoxin.Currently, about 80% of children with acute malnutrition still lack access to adequate treatment, highlighting the need for more affordable and locally produced alternatives.Analysis of the scientific literature shows a growing interest in alternative formulations based on local ingredients, namely soybeans, chickpeas, mung beans, sorghum, and oats.These alternatives show potential for reducing costs, improving sustainability, and ensuring adequate nutritional composition while maintaining microbiological stability and good sensory acceptability. Recent studies confirm that plant-based formulations can match the effectiveness of standard RUTF, provided they meet Guidelines for ready-to- use therapeutic foods CXG 95-2022 requirements, namely energy density, lipid profile, and protein quality.This work analyzes the problem of malnutrition, the evolution of RUTF, the international market, the challenges of local production, and opportunities for innovation, culminating in the development and comparison of several experimental formulations. The formulations proposed here use accessible and culturally appropriate ingredients, evaluated in terms of nutritional composition, technological feasibility, and alignment with international recommendations.It is concluded that RUTFs today represent a fundamental pillar of public health, but their evolution depends on the creation of nutritionally robust, economically sustainable solutions adapted to local contexts. The production of RUTF with regional ingredients (associated with adequate fortification) emerges as a viable strategy to expand access to treatment and contribute to the global reduction of child malnutrition.
Ready-to-use therapeutic foods (RUTF) and ready-to-use supplementary foods(RUSF) are among the most effective nutritional interventions for combating acute child malnutrition, enabling safe, stable, and home-based treatment without the need for refrigeration or preparation. Since the development of PlumpyâNut in 1996, these products have transformed the global approach to malnutrition, especially Severe Acute Malnutrition (SAM)by combining high energy density, good quality protein, and a variety of essential micronutrients, consistently achieving recovery rates between 80% and 95%. Despite their recognized effectiveness, significant limitations remain related to high production costs (mainly due to the use of peanuts and powdered milk), dependence on imports, and sustainability challenges, including environmental impact and vulnerability to contaminants such as aflatoxin.Currently, about 80% of children with acute malnutrition still lack access to adequate treatment, highlighting the need for more affordable and locally produced alternatives.Analysis of the scientific literature shows a growing interest in alternative formulations based on local ingredients, namely soybeans, chickpeas, mung beans, sorghum, and oats.These alternatives show potential for reducing costs, improving sustainability, and ensuring adequate nutritional composition while maintaining microbiological stability and good sensory acceptability. Recent studies confirm that plant-based formulations can match the effectiveness of standard RUTF, provided they meet Guidelines for ready-to- use therapeutic foods CXG 95-2022 requirements, namely energy density, lipid profile, and protein quality.This work analyzes the problem of malnutrition, the evolution of RUTF, the international market, the challenges of local production, and opportunities for innovation, culminating in the development and comparison of several experimental formulations. The formulations proposed here use accessible and culturally appropriate ingredients, evaluated in terms of nutritional composition, technological feasibility, and alignment with international recommendations.It is concluded that RUTFs today represent a fundamental pillar of public health, but their evolution depends on the creation of nutritionally robust, economically sustainable solutions adapted to local contexts. The production of RUTF with regional ingredients (associated with adequate fortification) emerges as a viable strategy to expand access to treatment and contribute to the global reduction of child malnutrition.
Descrição
Palavras-chave
RUTF SaĂșde PĂșblica Artigos SAM SustentĂĄveis